17: Exercise Traning And Rehabilitation Flashcards

1
Q

What are the 2 types of exercise

A

Static

Dynamic

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2
Q

What is static exercise

A

Muscles have a high exerted intensity without the movement of their joints

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3
Q

What is dynamic exercise

A

Aerobic exercise

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4
Q

Examples of dynamic exercise

A

Running
Jumping
Cycling

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5
Q

What happens to the ABP in static exercise

A

Abp increases

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6
Q

What is the equation for ABP

A
CO x TPR
Or
(SV X HR) X TRP
OR 
((EDV-ESV) x HR) X TPR
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7
Q

Why does the ABP increase in static exercise

A

Diastole and systolic pressure increase

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8
Q

What happens to the heart rate in static exercise

A

Increase

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9
Q

What happens to the blood flow in static exercise

A

Decrease

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10
Q

Why does the blood flow in static exercise decrease

A

Muscle contracts

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11
Q

What happens to the ABP during dynamic exercise

A

Slightly increases

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12
Q

Why does the ABP only slightly increase and not fully increase

A

Systolic increases and diastolic decreases

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13
Q

What happens to the blood flow in dynamic exercise

A

Blood flow increases in proportion to exercise

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14
Q

Why does diastolic decrease

A

Increase in blood flow increases TPR and therefore decreases diastolic pressure

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15
Q

What substances is exercise hyperaemia dependent on

A

Potassium
Adenosine
Phosphate

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16
Q

What is the role of the metabolic substances

A

To decrease TPR

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17
Q

Where are the metabolic substances released from

A

Muscles

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18
Q

What is the pattern of blood flow in dynamic exercise

A

Rhythmic

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19
Q

What is the pattern of blood flow in static exercise

A

Blood flow increases after contraction

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20
Q

How do potassium, adenosine and phosphate decrease the TPR

A

By dilating the vessels

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21
Q

How do we get the exercise reflex from being stimulated

A

Metabolic stimulates receptors of metaboreceptors and/or joint receptors (In dynamic)

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22
Q

Where do these receptors feed information into

A

The CNS of NTS

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23
Q

Where does the NTS feed information into

A

SLR (subthalmic locomotor region)

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24
Q

What happens at the SLR

A

Pattern of exercise integrated

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25
Q

What does the SLR lead to

A

Increase in respiration
Increase in HR and contractility to increase co
Increase in SNS to all types of muscles to get vasoconstriction and increase TPR

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26
Q

Which neurone stimulates the increase in respiration

A

Central respiratory neurone

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27
Q

Which neurone increases HR and contractility

A

Nucleus ambiguus decreases to decrease PNS

RVLM increases to increase SNS

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28
Q

Which neurone causes the increase in vasoconstriction of all blood vessels

A

RVLM to sympathetic pre-ganglionic neurones

29
Q

On top of all this what happens from the cortex i.e central commons

A

Cortex reinforces the SLR to reinforce the exercise reflex depending on the motivation of the person

30
Q

At the end of the exercise reflect what do we get

A

Sympathetic vasoconstriction which overcomes the exercise hyperaemia so TPR changes little
Baroreceptors reflex corrects the ABP to a higher set point

31
Q

What happens in the skin circulation if the thermoregulation reflex occurs

A

Fall in diastolic pressure

32
Q

When does the thermoregulatory reflex occur

A

When the temperature rises

33
Q

Are the peripheral chemoreceptors stimulated if the pao2 and paco2 and PH remain constant

A

No

34
Q

When do the peripheral chemoreceptors become stimulated

A

In anaerobic respiration

35
Q

What happens to the levels of Pao2, paco2 and ph in anaerobic respiration

A

Pao2 increase
Paco2 decrease
Ph increase

36
Q

What causes the decrease in ph in anaerobic exercise

A

Lactate acid formation

37
Q

When the peripheral chemoreceptors are stimulated in anaerobic exercise what happens in the end

A

Ventilation increases

38
Q

Which exercise is recommended to a patient with CVS disease

A

Dynamic

39
Q

What happens to the reflexes in static exercise

A

Increase in exercise reflex
Increase in peripheral chemoreceptors due to accumulation of lactic acid
Produced pain

40
Q

What responses are involved in acute exercise

A

Increase in metabolic dilation due to potassium, hydorgen ion and adenosine
Increase in cardiac output to muscles

41
Q

What happens in repeated exercise i.e trading

A

Adaptation

42
Q

What is the vo2 max

A

The rate of o2 from the lungs to the mitochondria

43
Q

What does the rate of VO2 depend on

A

Muscle perfusion
Rate of o2 uptake
Rate of mitochondria uptake

44
Q

Therefore what is improved in training

A

Vo2 max

Muscle perfusion

45
Q

What is the vo2 max dependent on

A

Cardiac output
Haematocrit
Resting vo2

46
Q

What changes occur to the heart when you train

A

Eccentric hypertrophy

47
Q

What is eccentric hypertrophy

A

Increase in chamber size without an increase in the wall thickening

48
Q

Which chambers increase in size by eccentric hypertrophy

A

Left and right ventricles

49
Q

What causes eccentric hypertrophy

A

Growth factors

50
Q

When are growth factors released

A

During aerobic exercise

51
Q

What happens to the EDV in training

A

Increases

52
Q

Why does EDV increase

A

Increased chamber size due to eccentric hypertrophy
Increased blood volume
increased central venous pressure i.e venous return

53
Q

What does an increase in EDV to do the SV

A

Increase SV

54
Q

What does increase in SV cause

A

Increased contractility and therefore increases CO

55
Q

What happens to the HR in someone who is trained

A

Decreases

56
Q

Why does the HR decrease

A

To achieve the same co

57
Q

What is the equation for CO

A

Sv x hr

58
Q

What causes a resting bradycardia

A

Increased tonic vagal activity i.e PNS
Increased ACH release of SAN to simulate muscarinic receptors
Decreases intrinsic pacemaker activity
Decreased SNS activity to the SAN

59
Q

Overall what happens to the ABP in someone who is trained

Think about the equation of ABP=CO X TPR) or (ABP=(SVxHR) x TPR

A

Decreases

60
Q

In a normal person what is the diffusion distance between the cardiac myocyte and the capillary

A

Low

61
Q

What happens to the diffusion distance in eccentric hypertrophy

A

Low

62
Q

Why is the diffusion distance low if the cardiac myocytes increase in length

A

We get an increased number of capillaries and arterioles which increase the O2 transport

63
Q

What muscle changes occur to increase vo2 max

A
Increase in capillary density 
Increased arterioles 
Increases muscle mitochondria 
Increases muscle myoglobin 
Arterial expansion
64
Q

What happens to the haematocrit in a trained person

A

Increases as they train at a high altitude i.e hypoxia which increases RBC production by stimulating erythropoiesis

65
Q

What does an increase in RBC do to the VO2 max

A

Increase it

66
Q

What will training in a cvs patient do

A

Eccentric hypertrophy

Increase ionotrophy

67
Q

What does the NICE guidelines recommend to people at risk of CVD

A

Moderate aerobic exercise or vigorous exercise

Should avoid heavy lifting i.e static exercise

68
Q

What are the long term benefits of exercising

A
Reduced ABP
Control BMI 
Improve cholesterol 
Reduce anxiety 
Reduce diabetes risk due to increase in glucose transport 
Recover from mycardial infarction